Individual
DR. MANISH NARENDRA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
BB474578520060130173
MO
207T00000X
Neurological Surgery Physician
Primary
P9955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335706301
—
TX
01
—
8EH924
BCBS
—
Enumeration date
07/14/2006
Last updated
05/18/2015
Update your record
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